Shaqualyn Taite, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-150563 Issued in AL

Practice address

4005 N College Ave
Jackson, AL 36545-2024

Phone

(251) 744-6084

NPI assigned

Jul 4, 2020

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Shaqualyn Rocker Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13116/brand/1/csg/1/fhir/r4
• Direct secure messaging: shaqualyn.rocker.1@13116.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1639679962
  Medicare reassignment NPD
• Rural Health Medical Program, Inc.

  dba Marion Health Center

  • Federally Qualified Health Center (FQHC)
  • Marion, AL
  • NPI 1437238151
  Medicare reassignment NPD
• Rural Health Medical Program, Inc

  dba Vredenburgh Health Center

  • Federally Qualified Health Center (FQHC)
  • Vredenburgh, AL
  • NPI 1104995208
  NPD
• Rural Health Medical Program, Inc

  dba Thomaston Health Center

  • Federally Qualified Health Center (FQHC)
  • Thomaston, AL
  • NPI 1215471032
  NPD
• Rural Health Medical Program, Inc

  dba Pine Apple Health Center

  • Federally Qualified Health Center (FQHC)
  • Pine Apple, AL
  • NPI 1295804391
  NPD
• Rural Health Medical Program, Inc

  dba Monroeville Health Center

  • Family Medicine Physician
  • Monroeville, AL
  • NPI 1457994121
  NPD
• Rural Health Medical Program, Inc

  • Podiatrist
  • Selma, AL
  • NPI 1871458927
  NPD
• Rural Health Medical Program, Inc

  dba RHMPI - Selma Health Center and Administrative Office

  • Federally Qualified Health Center (FQHC)
  • Selma, AL
  • NPI 1992040950
  NPD
• Rural Health Medical Program, Inc.

  dba Uniontown Health Services

  • Federally Qualified Health Center (FQHC)
  • Uniontown, AL
  • NPI 1033298757
  NPD
• Rural Health Medical Program, Inc.

  dba Yellow Bluff Health Center

  • Federally Qualified Health Center (FQHC)
  • Camden, AL
  • NPI 1760561419
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1881211019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306491",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452024",
            "telephone_number": "251-744-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITE",
        "first_name": "SHAQUALYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-04",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-150563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAQUALYN",
            "last_name": "ROCKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Damien Ray Sager, DPT
• Amy A Shelley
• Tyler M Smith, DC
• Stanley R Beard, PC (Beard Dentistry)
• Norman G Stevens III, MD
• The Arc of Clarke County, Inc.
• The Medical Store Inc
• The Pritchett Enterprise Co LLC Dba Graceful Hearts Care Team
• Total Spine and Rehab Inc
• Total Spine Surgical Center LLC

• Family Nurse Practitioner in Jackson, AL
• Providers in Jackson, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.